Une dambudzikowo here rekumedza chikafu? Pamwe imhaka ye'Schatzki Ring'!

Paunodya, kunyanya chimwe chinhu chakaoma sechingwa kana chidimbu chenyama chisina kutsengwa zvakanaka, unonzwa here kuti pahuro pako pakavharwa? Kana kuti unonzwa kurwadziwa pakati pechipfuva chako? Dzimwe nguva zvinhu izvi zvinoita kuti unzwe sekunge haudi kudya, handiti? Kana uine kusagadzikana kwakadaro, chikonzero chingave dambudziko diki pahuro pako, ndiko kuti, pombi yako yechikafu. Nhasi tichataura nezvechirwere chakadaro, chinonzi 'Schatzki Ring'.

Chii chinonzi 'Schatzki Ring' iyi? Ngatiinzwisise zviri nyore, handiti?

Fungidzira kuti pasi pepombi yako yechikafu (vanachiremba vanoidana kuti esophagus), apo chikafu chinopinda mudumbu mako, pane denderedzwa diki renyama yakawedzerwa. Zvakaita sebhandi rerabha mukati mepombi yako yechikafu. Mhete iyoyo yenyama yakawedzerwa inonzi Schatzki Ring . Yakatumidzwa zita raRichard Schatzki, chiremba we radiation akatanga kuiwana.

Zvino chii chinoitika nekuda kwemhete iyi? Gurokuro rinova rakatetepa zvishoma, kureva kuti, rinova rakatetepa. Zvadaro, paunomedza chikafu, hazviwanzoiti kuti zvidimbu zvechikafu zvipinde mudumbu zviri nyore. Dzimwe nguva, kana zvikaita zvitete zvekuti zvidimbu zvechikafu zvinogona kunamira ipapo uye zvisatombopinda mudumbu. Izvi ndizvo zvatinodaidza kuti kuoma kumedza (dysphagia) .

Zvisinei, havasi vese vane mhete yeSchatzki vane zviratidzo zvikuru. Vamwe vanhu vanozoona kuti vane chirwere ichi netsaona pavanoongororwa chimwe chirwere. Kana usina dambudziko guru rekumedza, ungasada kurapwa.

Ndezvipi zviratidzo zve'Schatzki Ring'? Tarisa kana uine izvi zvakare

Chiratidzo chikuru kuoma kumedza (dysphagia) kwatakambotaura nezvako. Zvisinei, panogona kunge paine zvimwe zviratidzo zvakawanda:

• Kubatwa nechikafu: Nguva pfupi mushure mekunge watanga kudya, chimedu chekudya chinogona kunamirwa muSchatzki ring paunoedza kumedza. Izvi zvinogona kuita kuti zviomere kumedza kunyange donhwe remvura. Dzimwe nguva, unogona kunzwa kurwadziwa kwakanyanya kana kunzwa kupisa paunenge uchimedza (odynophagia) . Unogona kuedza kubvisa chimedu chekudya chakanamirwa pahuro pako, uye unogona kurutsa.
• Kurwadziwa kwechipfuva kusiri kwemoyo: Izvi zvinogona kunzwa sekunge pane chinhu chakanamira muchipfuva. Vamwe vanhu vanogona kunetseka kuti chirwere chemwoyo. Zvisinei, ichi hachisi dambudziko remwoyo.

Kazhinji, zviratidzo izvi zvinoonekwa mushure mekudya zvinhu zvakaita sechingwa chakasakara kana nyama isina kubikwa zvakanaka. Zviratidzo izvi hazvingoerekana zvaitika, asi zvinokura zvishoma nezvishoma. Kunyangwe chirwere ichi chichigona kutanga chero pazera ripi zvaro, chinowanzoonekwa mushure memakore makumi maviri nemashanu. Fungidzira kuti zvinorwadza sei paunoenda kumafaro neshamwari dzako wobva waomerwa nekumedza nyama.

Sei iyi 'Schatzki Ring' ichiumbwa? Ndezvipi zvikonzero?

Chikonzero chaicho cheizvi hachisati chanyatsojeka. Chingave chirwere chekuzvarwa nacho, zvichireva kuti wakazvarwa nacho.

Asi vaongorori vanotenda kuti zvimwe zvinhu zvinogona kunge zvichikonzera. Semuenzaniso, acid yemudumbu inoyerera ichipinda mugurokuro inofungidzirwa kuti ndiyo inonyanya kukonzera. Nyanzvi dzinotenda kuti kana acid yemudumbu kana mimwe mishonga ikakuvadza chikamu chezasi chegurokuro kakawanda, mamwe matishu anokura munzvimbo iyoyo sezvo kukuvara kwacho kuchipora. Funga nezvazvo sevanga rinoumba paganda redu patinochekwa.

Kune mamwe mamiriro akati wandei anogona kubatsira pakuumbwa kweiri `(Schatzki ring):

• Chirwere cheGastroesophageal Reflux (GERD): Ichi chirwere chegastritis chakanyanya kuipa, icho vazhinji vedu tinoziva. GERD chirwere apo acid yemudumbu inogara ichidzokera mugurokuro. Asidhi iyi inogona kukuvadza jira regurokuro.
• Hernia yemukati medumbu: Vamwe vanhu vanofunga kuti hernia yemukati medumbu nerin'i yeSchatzki zvakafanana. Zvisinei, hazvisizvo. Zvisinei, pane hukama pakati pezviviri izvi. Vanhu vazhinji vane rin'i yeSchatzki vanewo hernia yemukati medumbu. Apa ndipo apo chikamu chepamusoro chedumbu chinosundira kumusoro nepaburi diki riri mu diaphragm. Izvi zvinobvumira zviri mudumbu, zvakaita seasidhi, kuti zvipinde nyore nyore mugurokuro. Izvi zvinogonawo kukuvadza gurokuro.

Vanachiremba vanoona sei Ring yeSchatzki?

Kana uchinetseka nekumedza, chiremba wako achatanga akuongorora muviri wako. Vachakubvunza nezvezviratidzo zvako, kunyanya chikafu chinoita kuti dambudziko rako riwedzere. Kana vaine zvinokunetsa, vanogona kukutumira kuna chiremba wezvekudya .

Nyanzvi iyi inogona kuita bvunzo idzi:

• Endoscopy: Izvi zvinosanganisira kuisa chubhu refu, inochinjika (inonzi endoscope) ine kamera diki nechiedza chakasungirirwa nemuromo uye kuongorora mukati megurokuro. Izvi zvinoita kuti mhete yeSchatzki ionekwe zvakananga.
• Barium esophagram: Izvi dzimwe nguva zvinonzi barium swallow test . Mubvunzo uyu, unomedza piritsi kana mvura yakagadzirwa nemushonga unonzi barium. Zvadaro, chiremba anoshandisa fluoroscopic X-ray (mifananidzo yeX-ray inofamba) kuti aone chikafu chichipfuura nemugurokuro rako paunenge uchimedza. Izvi zvinogona kupa pfungwa yehukuru hwerin'i, kana kuti gurokuro rako rakatetepa sei.

Chinhu chakakosha ndechekuti sezvo mhete iyi yenyama ichikura, nzvimbo iri mukati megurokuro yako inova diki. Ndipo pazvinova zvakaoma kuti chikafu chipinde mudumbu mako.

Ring yeSchatzki inorapwa sei?

Chiremba wemudumbu wako angangoita kuti aongorore chirwere cheesophagogastroduodenoscopy (EGD) nekuwedzera huro . Usazvidya moyo, iyi inzira yakareba, asi maitiro acho ari nyore.

Chinoitika apa ndechekuti, uchishandisa ``endoscope'', kureva kuti, chubhu ine kamera, bharumu diki kana kuti dilator zvinotumirwa mugurokuro. Zvadaro, panzvimbo ye``Schatzki ring'', bharumu iri kana mudziyo unofuridzirwa, uye nzvimbo yakamanikana inowedzerwa. Zvakafanana nekuita kuti chubhu yakamanikana ikure zvishoma. Izvi zvinoburitsa ringi rekuwedzera renyama.

Kurapwa kunogona kukonzera migumisiro yakaipa here?

Panogona kuva nezvimwe zvidiki zvinokanganisa mushure mekuvhiyiwa kwekuwedzera kwedumbu (EGD), asi izvi hazviwanzo kuva zvakakomba.

• Kubuda ropa zvishoma
• Chirungurira, senge gastritis
• Huro inorwadza

Asi kashoma , kana kuzara kwegurokuro uku kwaitwa, madziro egurokuro anogona kubvaruka zvishoma (kubvarura buri). Ichi chirwere chakakomba. Saka, kana ukaona chimwe chezviratidzo zvinotevera mushure mekurapwa , unofanira kuzivisa chiremba wako nekukasika :

• Kana uri mumamiriro ezvinhu asingakwanise kumedza
• Kana uchinetseka kufema
• Kana uine kurwadziwa kwakanyanya pachipfuva
• Kana ukarutsa ropa

Kana chimwe chinhu chakadai chikaitika, usanonoka kunyangwe zvishoma, zvakanaka here?

Chii chaungatarisira kana uine 'Schatzki Ring'?

Kazhinji, mushure mekuzara kwegurokuro, chikafu chinonamira nekuda kweSchatzki ring chinomira zvakanyanya. Uchakwanisa kumedza chikafu zviri nyore zvakare.

Zvisinei, zvinokwanisika kuti mhete iyi 'idzoke'. Kana izvozvo zvikaitika, ungangoda kuona chiremba wako zvakare uye pamwe wozorapwazve. Saka zvakakosha kutarisisa zviratidzo.

Ndingazvitarisira sei? Ndinofanira kuitei?

Kana uchinetseka nekumedza nekuda kweringi yeSchatzki, ungave nematambudziko akawanda, kunyanya kana uchidya zvinhu zvakaita sechingwa chakaoma kana zvidimbu zvikuru zvenyama. Chiremba wako anogona kukukurudzira kuti utarise pane zvekudya zvakapfava kwenguva yakati usati warapwa uye mushure mekurapwa.

• Muriwo nemupunga zvakabikwa zvakanaka
• Mhando dzesobho
• Michero yakapfava yakaita semabhanana nemapapaya
• Yogati, mukaka usina mafuta akawanda

Zvinhu izvi zviri nyore kumedza. Paunenge uchidya , nyatsotsenga chikafu chako, chimedze zvishoma nezvishoma, zvishoma nezvishoma.Zvakakoshawo kuti ujairire. Usaende kunodya kunze uchimhanya.

Ndinofanira kuona chiremba zvakare rini?

Kana uchinzwa sekuti zviratidzo zvako zvava kudzoka, zvakaita sekudzipwa kana kurwadziwa pachipfuva, iva nechokwadi chekuona chiremba wezvekudya zvakare. Angangoda kuita bvunzo dzakawanda kuti aone kana mhete yeSchatzki yadzokazve.

Iyi 'Schatzki Ring' haisi kungozvigadzirisa yoga here?

Kwete, iyi haisi chirwere chinozopora chega. Kuti ubvise `(Schatzki ring)`, unofanirwa kurapwa. Kunyangwe nekurapwa kwakadaro, sezvatakambotaura, chirwere ichi chinogona kudzoka. Zvadaro kurapwa kuchadiwa zvakare.

Pakupedzisira, zvinhu zvishoma zvekurangarira (Mharidzo Yekuenda Kumba)

Kudya kazhinji inguva yatinozorora, tinonakidzwa nekudya kunonaka, uye pamwe tinopedza nguva nemhuri. Asi kana uine "Schatzki ring" muhuro mako, mufaro iwoyo unogona kurasika kana uchinetseka kumedza chikafu, uye kunyangwe kudya kunogona kurwadza.

Chinhu chakanakisa chekuita kana uine zviratidzo izvi kutsvaga rubatsiro rwechiremba usingazviregeredze.

Kurapwa kunogona kuderedza zvikuru zviratidzo zveSchatzki ring. Kana bvunzo dzikaratidza kuti une chirwere ichi, taura nachiremba wako nezvekurapa kwakanakira iwe. Iye achakutsanangurira sarudzo dzako uye zvaunogona kutarisira kubva mukurapwa. Usanetseke, kune mishonga inoshanda yeizvi!

Mhete yeSchatzki , dysphagia, kuoma kumedza, esophagus, GERD, hiatal hernia, endoscopy, kuwedzera kwesophageal